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..... mimmijp <br /> rn <br /> m <br /> 11.11111.111111111M .1.111M1.111111111111M N.) m ,� „.._.:' ,ei-,. <br /> C (cP. ...... <br /> e VIII_ FINANCING STATEMENT nr n C7 a <br /> CO <br /> N ■ <br /> V INSTRUCTIONS �` } " 1—� <br /> 0) ■ E&PHONE OF CONTACT AT FILER(optional) Cll <br /> ELLEY SCHROEDER 308-395-8586 ∎ O `' _JD a o <br /> a —� r <br /> UL CONTACT AT FILER(optional) i N.) <br /> -�= lleyschroeder @ne.usda.gov 0 i h. ; <br /> �� D ACKNOWLEDGMENT TO: (Name and Address) 119 IN) v N --4 <br /> HALL COUNTY FSA <br /> 2550 N DIERS AVE.,SUITE K O <br /> LGRAND ISLAND,NE 68803 i <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> 1.DEBTORS NAME: Provide only gpg Debtor name(la or 1b)(use exact,full name;do not omit,modify,or abbreviate any part of the Debtor's name);if any part of the Individual Debtor's <br /> name will not fit in line lb,leave all of item 1 blank,check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum(Form UCC1Ad) <br /> — <br /> la.ORGANIZATION'S NAME <br /> OR 1b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> LAMBRECHT CHT MICHAEL L <br /> 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 13244 WEST SCHIMMER DRIVE WOOD RIVER NE 68883 <br /> 2.DEBTORS NAME: Provide only Lux Debtor name(2a or 2b)(use exact,full name;do not omit,modify,or abbreviate any part of the Debtor's name);if any part of the Individual Debtor's <br /> name will not fit in line 2b,leave all of item 2 blank,check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum(Form UCC1Ad) <br /> 2a.ORGANIZATION'S NAME <br /> OR 2b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIALS SUFFIX <br /> LAMBRECHT CHERYL A <br /> 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 13244 WEST SCHIMMER DRIVE WOOD RIVER NE 68883 <br /> 3.SECURED PARTY'S NAME(or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name(3a or 3b) <br /> 3a.ORGANIZATION'S NAME <br /> FARM SERVICE AGENCY AN AGENCY OF THE UNITED STATES OF AMERICA <br /> OR 3b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> 3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 2550 N DIERS AVE., SUITE K GRAND ISLAND NE 68803 <br /> 4.COLLATERAL: This financing statement covers the following collateral: <br /> — <br /> a)1997 Schult Manufactured Home 16'x76'(VIN#P284132); <br /> b)All proceeds,products,accessions,and security acquired hereafter; <br /> The security interest perfected secures a future advance clause and the security agreement contains an after-acquired <br /> property clause. <br /> Disposition of such collateral is not hereby authorized. <br /> 5.Check only if applicable and check only one box:Collateral is ❑held in a Trust(see UCC1Ad,item 17 and Instructions) 0 being administered by a Decedent's Personal Representative <br /> 6a.Check oIU if applicable and check only one box: 6b.Check QNy if applicable and check only one box: <br /> 0 Public-Finance Transaction 0 Manufactured-Home Transaction 0 A Debtor is a Transmitting Utility Ej Agricultural Lien 0 Non-UCC Filing <br /> 7.ALTERNATIVE DESIGNATION(if applicable): fl Lessee/Lessor fl Consignee/Consignor 0 Seller/Buyer 0 Bailee/Bailor E Licensee/Licensor <br /> 8.OPTIONAL FILER REFERENCE DATA: <br /> FILING OFFICE COPY—UCC FINANCING STATEMENT(Form UCC1)(Rev.04/20/11) International Association of Commercial Administrators(IACA) <br />